Individual
PATRICIA LYNN HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
19082 N FRUITPORT RD, SPRING LAKE, MI 49456-1163
(616) 850-0580
Mailing address
18598 WOODDUCK DR, SPRING LAKE, MI 49456-2900
(616) 850-0580
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/04/2012
Last updated
08/04/2012
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